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Muscular Dystrophy – The Neurological Weakness

A muscular Dystrophy is a group of diseases that make muscles weaker and less flexible over time. This damage and weakness are due to the lack of a protein called dystrophin, which is necessary for normal muscle function. The absence of this protein can cause problems with walking, swallowing, and muscle coordination.

For some people, the disease starts early in childhood. Others don’t have any symptoms until they are teenagers or middle-aged adults. In muscular dystrophy, abnormal genes (mutations) interfere with proteins’ production needed to form healthy muscle. 

How muscular dystrophy affects an individual depends on the kind. Most people’s condition will worsen over time, and some people may lose the ability to walk, talk, or care for themselves. But that doesn’t happen to everyone. Other people can live for many years with mild symptoms.

There’s no cure for muscular dystrophy. But medications and therapy can help manage symptoms and slow the course of the disease. Some forms of muscular dystrophy may be present at birth and develop during childhood, while other forms develop during adulthood. 

Muscular dystrophy can be hereditary as well. More than 30 types of muscular dystrophy result in muscle weakness, which varies in symptoms and severity. There are nine different categories used for diagnosis. Let us explore each type in detail. 

Muscular Dystrophy

Types of Muscular Dystrophy

Duchenne muscular dystrophy: This type of muscular dystrophy is the most common among children. The majority of individuals affected are boys. It’s rare for girls to develop it. The symptoms include:

  • trouble walking
  • loss of reflexes
  • difficulty standing up
  • poor posture
  • bone thinning
  • scoliosis, which is an abnormal curvature of your spine
  • mild intellectual impairment
  • breathing difficulties
  • swallowing problems
  • lung and heart weakness

People with Duchenne muscular dystrophy typically require a wheelchair before their teenage years. The life expectancy for those with this disease is late teens or 20s.

Becker muscular dystrophy: Becker muscular dystrophy is similar to Duchenne muscular dystrophy, but it’s less severe. This type of muscular dystrophy also more commonly affects boys. Muscle weakness occurs mostly in your arms and legs, with symptoms appearing between age 11 and 25.

Other symptoms of Becker muscular dystrophy include:

  • walking on your toes
  • frequent falls
  • muscle cramps
  • trouble getting up from the floor

Many with this disease don’t need a wheelchair until they’re in their mid-30s or older, and a small percentage of people with this disease never require one. Most people with Becker muscular dystrophy live until middle age or later.

Congenital muscular dystrophy: Congenital muscular dystrophies are often apparent between birth and age 2. This is when parents begin to notice that their child’s motor functions and muscle control aren’t developing as they should. Symptoms vary and may include:

  • muscle weakness
  • poor motor control
  • inability to sit or stand without support
  • scoliosis
  • foot deformities
  • trouble swallowing
  • respiratory problems
  • vision problems
  • speech problems
  • intellectual impairment

While symptoms vary from mild to severe, most people with congenital muscular dystrophy are unable to sit or stand without help. The lifespan of someone with this type also varies, depending on the symptoms. Some people with congenital muscular dystrophy die in infancy, while others live until adulthood.

Myotonic dystrophy: Myotonic dystrophy is also called Steinert’s disease or dystrophia myotonica. This form of muscular dystrophy causes myotonia, an inability to relax your muscles after they contract. Myotonia is exclusive to this type of muscular dystrophy.

Myotonic dystrophy can affect your:

  • facial muscles
  • central nervous system
  • adrenal glands
  • heart
  • thyroid
  • eyes
  • gastrointestinal tract

Symptoms most often appear first in your face and neck. They include:

  • drooping muscles in your face, producing a thin, lean look
  • difficulty lifting your neck due to weak neck muscles
  • difficulty swallowing
  • droopy eyelids, or ptosis
  • early baldness in the front area of your scalp
  • low vision, including cataracts
  • weight loss
  • increased sweating

This dystrophy type may also cause impotence and testicular atrophy in males. In women, it may cause irregular periods and infertility.

Myotonic dystrophy diagnoses are most common in adults in their 20s and 30s. The severity of symptoms can vary greatly. Some people experience mild symptoms, while others have potentially life-threatening symptoms involving the heart and lungs.

Facioscapulohumeral (FSHD): Facioscapulohumeral muscular dystrophy (FSHD) is also known as Landouzy-Dejerine disease. This type of muscular dystrophy affects the muscles in your face, shoulders, and upper arms. FSHD may cause:

  • difficulty chewing or swallowing
  • slanted shoulders
  • a crooked appearance of the mouth
  • a wing-like appearance of the shoulder blades

A smaller number of people with FSHD may develop hearing and respiratory problems.

FSHD tends to progress slowly. Symptoms usually appear during your teenage years, but they sometimes don’t appear until your 40s. Most people with this condition live a full life span.

Limb-girdle muscular dystrophy: Limb-girdle muscular dystrophy causes weakening of the muscles and a loss of muscle bulk. This type of muscular dystrophy usually begins in your shoulders and hips, but it may also occur in your legs and neck. You may find it hard to get up out of a chair, walk up and downstairs, and carry heavy items if you have limb-girdle muscular dystrophy. You may also stumble and fall more easily.

Limb-girdle muscular dystrophy affects both males and females. Most people with this form of muscular dystrophy are disabled by age 20. However, many have an average life expectancy.

Oculopharyngeal muscular dystrophy (OPMD): Oculopharyngeal muscular dystrophy causes weakness in your facial, neck, and shoulder muscles. Other symptoms include:

  • drooping eyelids
  • trouble swallowing
  • voice changes
  • vision problems
  • heart problems
  • difficulty walking

OPMD occurs in both men and women. Individuals usually receive diagnoses in their 40s or 50s.

Distal muscular dystrophy: Distal muscular dystrophy is also called distal myopathy. It affects the muscles in your:

  • forearms
  • hands
  • calves
  • feet

It may also affect your respiratory system and heart muscles. The symptoms tend to progress slowly and include a loss of fine motor skills and difficulty walking. Most people, both male and female, are diagnosed with distal muscular dystrophy between 40 and 60.

Emery-Dreifuss muscular dystrophy: Emery-Dreifuss muscular dystrophy tends to affect more boys than girls. This type of muscular dystrophy usually begins in childhood. The symptoms include:

  • weakness in your upper arm and lower leg muscles
  • breathing problems
  • heart problems
  • shortening of the muscles in your spine, neck, ankles, knees, and elbows

Most individuals with Emery-Dreifuss muscular dystrophy die in mid-adulthood from heart or lung failure.

Treatment for muscular dystrophy

There is currently no cure for muscular dystrophy.

To help ease discomfort, reduce joint contractures, and prevent or delay scoliosis, physiotherapists offer advice on stretches and exercises and the prescription of orthoses and other orthopedic devices. Occupational therapists also provide advice on sitting positions and activities. Such treatment can keep affected people walking for more extended and maximize independence in daily living. Treatments depend on your symptoms.

Treatment options include:

  • corticosteroid drugs, which help strengthen your muscles and slow muscle deterioration
  • assisted ventilation if respiratory muscles are affected
  • medication for heart problems
  • surgery to help correct the shortening of your muscles
  • surgery to repair cataracts
  • surgery to treat scoliosis
  • surgery to treat cardiac problems

Therapy has proven to be effective. You can strengthen your muscles and maintain your range of motion using physical therapy. Occupational therapy can help you:

  • become more independent
  • improve your coping skills
  • improve your social skills
  • gain access to community services

Check out our recent blog – https://www.saideephospital.com/2021/01/15/anorexia-the-sickness-that-robs-your-fitness/

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Anorexia
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Anorexia – The sickness that robs your fitness

Anorexia nervosa — often simply called anorexia — is an eating disorder characterized by abnormally low body weight, an intense fear of gaining weight, and a distorted perception of weight. People with anorexia place a high value on controlling their weight and shape, using extreme efforts that tend to significantly interfere with their lives.

To prevent weight gain or to continue losing weight, people with anorexia usually severely restrict the amount of food they eat. They may control calorie intake by vomiting after eating or by misusing laxatives, diet aids, diuretics or enemas.

They may also try to lose weight by exercising excessively. No matter how much weight is lost, the person continues to fear weight gain.

Anorexia isn’t really about food. It’s an extremely unhealthy and sometimes life-threatening way to try to cope with emotional problems. When you have anorexia, you often equate thinness with self-worth.

Anorexia, like other eating disorders, can take over your life and can be very difficult to overcome. But with treatment, you can gain a better sense of who you are, return to healthier eating habits and reverse some of anorexia’s serious complications.

Symptoms of Anorexia

The physical signs and symptoms of anorexia nervosa are related to starvation. Anorexia also includes emotional and behavioral issues involving an unrealistic perception of body weight and an extremely strong fear of gaining weight or becoming fat.

It may be difficult to notice signs and symptoms because what is considered a low body weight is different for each person, and some individuals may not appear extremely thin. Also, people with anorexia often disguise their thinness, eating habits, or physical problems.

Physical symptoms:

  • Extreme weight loss or not making expected developmental weight gains
  • Thin appearance
  • Abnormal blood counts
  • Fatigue
  • Insomnia
  • Dizziness or fainting
  • Bluish discoloration of the fingers
  • Hair that thins, breaks, or falls out
  • Soft, downy hair covering the body
  • Absence of menstruation
  • Constipation and abdominal pain
  • Dry or yellowish skin
  • Intolerance of cold
  • Irregular heart rhythms
  • Low blood pressure
  • Dehydration
  • Swelling of arms or legs
  • Eroded teeth and calluses on the knuckles from induced vomiting
  • Some people who have anorexia binge and purge, similar to individuals who have bulimia. But people with anorexia generally struggle with abnormally low body weight, while individuals with bulimia typically are normal to above normal weight.

Emotional and behavioral symptoms

Behavioral symptoms of anorexia may include attempts to lose weight by:

  • Severely restricting food intake through dieting or fasting
  • Exercising excessively
  • Bingeing and self-induced vomiting to get rid of food, which may include the use of laxatives, enemas, diet aids, or herbal products

Emotional and behavioral signs and symptoms may include:

  • Preoccupation with food, which sometimes includes cooking elaborate meals for others but not eating them
  • Frequently skipping meals or refusing to eat
  • Denial of hunger or making excuses for not eating
  • Eating only a few certain “safe” foods, usually those low in fat and calories
  • Adopting a rigid meal or eating rituals, such as spitting food out after chewing
  • Not wanting to eat in public
  • Lying about how much food has been eaten
  • Fear of gaining weight that may include repeated weighing or measuring the body
  • Frequent checking in the mirror for perceived flaws
  • Complaining about being fat or having parts of the body that are fat
  • Covering up in layers of clothing
  • Flat mood (lack of emotion)
  • Social withdrawal
  • Irritability
  • Insomnia
  • Reduced interest in sex

Causes of Anorexia

The exact cause of anorexia is unknown. As with many diseases, it’s a combination of biological, psychological, and environmental factors.

  • Biological. Although it’s not yet clear which genes are involved, there may be genetic changes that make some people at higher risk of developing anorexia. Some people may have a genetic tendency toward perfectionism, sensitivity, and perseverance — all traits associated with anorexia.
  • Psychological. Some people with anorexia may have obsessive-compulsive personality traits that make it easier to stick to strict diets and forgo food despite being hungry. They may have an extreme drive for perfectionism, which causes them to think they’re never thin enough. And they may have high levels of anxiety and engage in restrictive eating to reduce it.
  • Environmental. Modern Western culture emphasizes thinness. Success and worth are often equated with being thin. Peer pressure may help fuel the desire to be thin, particularly among young girls.

Risk factors of Anorexia

Anorexia is more common in girls and women. However, boys and men have increasingly developed eating disorders, possibly related to growing social pressures.

Anorexia is also more common among teenagers. Still, people of any age can develop this eating disorder, though it’s rare in those over 40. Teens may be more at risk because of all the changes their bodies go through during puberty. They may also face increased peer pressure and be more sensitive to criticism or even casual comments about weight or body shape.

Certain factors increase the risk of anorexia, including:

  • Genetics. Changes in specific genes may put certain people at higher risk of anorexia. Those with a first-degree relative — a parent, sibling or child — who had the disorder have a much higher risk of anorexia.
  • Dieting and starvation. Dieting is a risk factor for developing an eating disorder. There is strong evidence that many of the symptoms of anorexia are actually symptoms of starvation. Starvation affects the brain and influences mood changes, rigidity in thinking, anxiety and reduction in appetite. Starvation and weight loss may change the way the brain works in vulnerable individuals, which may perpetuate restrictive eating behaviors and make it difficult to return to normal eating habits.
  • Transitions. Whether it’s a new school, home or job; a relationship breakup; or the death or illness of a loved one, change can bring emotional stress and increase the risk of anorexia.

Prevention of Anorexia

There’s no guaranteed way to prevent anorexia nervosa. Primary care physicians (pediatricians, family physicians, and internists) may be in a good position to identify early indicators of anorexia and prevent the development of full-blown illness. For instance, they can ask questions about eating habits and satisfaction with appearance during routine medical appointments.

If you notice that a family member or friend has low self-esteem, severe dieting habits, and dissatisfaction with appearance, consider talking to him or her about these issues. Although you may not be able to prevent an eating disorder from developing, you can talk about healthier behavior or treatment options.

Treatment of Anorexia

Treatment for anorexia is generally done using a team approach, which includes doctors, mental health professionals, and dietitians, all with experience in eating disorders. Ongoing therapy and nutrition education is highly important to continued recovery.

Check out our recent blog on Anesthesia – https://www.saideephospital.com/2020/12/19/critical-care-anesthesia/

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Migraine
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Know your Migraine

Migraine is a chronic health condition that entails severe, recurring headaches during a time. Before the inception of the symptoms, the body may feel sensory changes known as an aura. Migraine affects people in different ways. Some patients have an episode weekly, while some have them occasionally. These people may feel a diverse range of triggers, symptoms, or frequency, consequently.

Many researchers have found that adults are more prone to chronic migraine than children. Although in some cases, children below the age of 18 may also be subjected to this disease. This disease’s diagnosis is primarily determined through the family’s clinical history, reported history, or other causes. The most common causes of migraine happen without the aura (usually referred to as common migraines) or those with an atmosphere (typically know as classic migraine).

Migraines can be treated. With proper medications and self-help remedies, headaches, pain could be prevented or become less painful.

The four stages of a Migraine

The four stages of a Migraine

It can start in early childhood. People who have a family history of migraines may go through four stages in their lives: prodrome, aura, attack, and post-drome. However, not everyone, during the inception of their disease, may feel these symptoms.

1.Prodrome

Prodrome is the first set of symptoms that you may feel before the onset of your first migraine. You might notice these subtle changes, telling you the signs of an upcoming migraine. These are-:

  • Food cravings
  • Constipation
  • Mood swings
  • Neck stiffness
  • Increased thirst or urination

2.Aura

Aura is the symptoms that may be felt by the patients before or after the first onset of your migraine. They are visual reversible symptoms of your nervous system. They usually start showing gradually and can last up to 60 minutes. These are-:

  • Vision loss
  • Difficult hearing
  • Sensitive of light 
  • Pins and needles sensation
  • Hearing sounds

3.Attack 

The following symptoms come in the attack phase. This is when the episodes may occur. Some people might feel a headache in their aura phase. The attack may vary from person to person. This phase can last up to hours to days. Some of the symptoms of this phase are-:

  • Nausea
  • Dizziness
  • Sensitivity to light and sounds
  • Pulsing of head
  • Pain on either side of your head; left, right, front, back, or temples.

4.Post- drome

After a migraine attack, a person may feel drained, tired, confused for the day. Some patients might feel elated. 

How does migraine pain feel?

Migraine pain can vary from person to person. Patients who have felt migraine pain described it as-: 

  • Pulsating
  • Throbbing
  • Pounding

Migraine pain can be dull as well as severe. In some people, the pain may initially start as mild, but it could become severe without treatment. The pain usually hits your forehead area, on either side of the head or both sides.

Migraine nausea

Nausea is a common symptom found in people who suffer from migraines. Most people also vomit. Usually, nausea starts with the onset of a headache, but in some cases, it may begin one hour before or after the headache starts.

Nausea and vomiting are as tricky as the headache itself. Although sickness alone can be taken care of with proper medications, vomiting can deteriorate your condition even more, as the pills you may swallow may not be absorbed by the body fast enough.

Treatment of nausea and vomiting

If you suffer from nausea, your doctor may suggest some anti-nausea medications known as antiemetic drugs, which may help out nausea. In some cases, acupressure has also been found successful while treating nausea preventing migraine-associated nausea under 4 hours. 

Doctors usually prefer treating both the ailments rather than together. If you are a nausea and vomiting type patient, your doctors might suggest some preventive prophylactic medications.

When should you do a test?

Your migraine can be diagnosed by doing a medical test. Your doctor may suggest a test after checking your symptoms, your family history, or any physical examination to rule out other complications such as

  • Tumors
  • Stroke
  • Abnormal brain structures

Well, one thing you should know is that migraines can’t be cured. But with proper medications and treatments, you may be able to manage and ease down the symptoms. 

Your treatment should depend -:

  • Your age
  • The type of migraine
  • The severity of the migraine
  • Their time of occurrence, how much pain do you feel, how often do you feel the pain
  • Other symptoms like nausea and vomiting

What causes Migraine

There is no definite cause for migraine. Researchers cannot find the reason behind it, but certain factors are said to trigger the disease. For example, a decrease in the level of serotonin. Some other factors include-:

  • Dehydration
  • Bright lights
  • Loud music or sounds
  • Excessive stress
  • Hormonal change
  • Skipping meals
  • Smoking and alcohol

Migraine treatments-:

Treatments may vary from person to person. Some may include 

  • Lifestyle adjustments
  • Home remedies
  • OTC or migraine medications such as NSAIDs or Tylenol.
  • Preventive migraine medications to ease out the pain
  • Counseling

Some people also go for migraine surgery. There are a couple of procedures used, although not allowed by the U.S food and drug Administration. The American migraine foundation always suggests migraine patients consult a headache specialist. These surgeries are experimental until proven and researchers are doing their best to find out if they work.

Food that might trigger migraine

Certain foods may trigger these headaches more than the others. It is best to avoid these-:

  • Alcohol or caffeine
  • Tyramine (found in natural substances)
  • Monosodium glutamate, nitrates and other food additives

See a doctor

Have around to your doctor if re-occurring headaches start interfering in your life. Explain your symptoms if you have any pain behind the ears and eyes or if you often have headaches. Migraines can be excruciating, and if not treated properly, can become severe.  Preventing your headaches is the best way to manage them.

Check out our recent blog on mental health – https://www.saideephospital.com/2020/11/17/mental-health-disorders-on-the-rise-during-covid/

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Trends to look out for in Dentistry
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Trends to look out for in Dentistry

The public’s innate desire to make considerable efforts to keep their pearly whites in optimum condition and work hard to maintain their oral health is providing an immense tailwind to the industry. People from all social strata are wanting to elevate their smiles.

Since all of us don’t have a picturesque smile, technological advancements in orthodontics have allowed people with dental problems to overcome troubling issues and gain a beautiful smile that fills them with confidence.

Research shows that the coming year will be filled with exciting in-office and digital dental trends, including new technologies, improved business practices, and new ways to optimize the patient experience — and even Robo-dentists. 

Dentistry Trends concerning technology 

  • Dental 3D Printers

3D printers are revolutionizing dentistry and orthodontics by helping to drastically reduce the time and costs associated with the production of custom aligners, tooth replacements, veneers, and crowns. In-house 3D printers also decrease private practices’ dependency on third-party labs and companies that typically design and develop these products. 

  • Laser Dentistry

Laser technology is one of the many dental trends taking the field by storm for various reasons. Its wide array of uses include, but are not limited to, the following: whitening teeth, removing tooth decay, preparing the tooth’s enamel for the filling, reshaping the gums, removing bacteria during a root canal, eradicating lesions.

  • CAD Technology

Computer-aided technology has helped create designs of teeth that help create customized designs for patients for prosthetic treatments like veneers, bridges, and artificial teeth.

Trends concerning procedures

  • Teeth Whitening

Teeth whitening is trending in 2020, with more patients than ever seeking natural-looking & white shining teeth. Yellow teeth are a common problem that can make anyone look less than appealing. Cosmetic dentistry has come up with various solutions for teeth whitening that brighten teeth without any prosthetics.

Clear aligners

Brace wearers are welcoming the latest trend in the dental market. This new technique is an effective alternative to wearing uncomfortable wire-and-band braces. Clear aligners are made with durable transparent plastic and are more comfortable. They can be easily cleaned and are quite comfortable to wear. They can be removed to brush and floss the teeth and then inserted back into the mouth to continue their use.

  • Dental bonding

Dental bonding is quick, easy, and effective in elevating your smile and overall appearance. Many patients have gaps, cracks, and chips in their teeth, making their smile not as attractive as they wish it to be. These are filled with a resin-like material with dental bonding.

  • Dental Implants

Missing teeth can damage an individual’s smile and change their face, making them look older. Traditionally, implants were considered to be an alternative for older people, but now they are increasingly used by the younger generation to get a perfect smile.

  • Gum contouring

Gum contouring is a useful procedure for those with an uneven gum line or those whose gums rest too high or low on their teeth. By reshaping your gums, the shape and size of your teeth can be made to look ideal.

Dentistry Trends with respect to Industry

  • Natural Dental Products

Going green is a popular trend across all industries, especially in personal and professional healthcare. As consumers increasingly opt for more natural products like charcoal toothpaste and bamboo toothbrushes in their personal lives, the incorporation of natural oral hygiene products within your dental practice will be a necessity moving forward.

  • Dental Group Practices

Individual dental practices are on the decline, and group dental practices are on the rise. Treating patients in an efficient and time-friendly manner is more critical now than ever before. Thus dentists are coming together to form group practices to reap economies of scale to tackle increasing costs and eliminate risk. 

  • Automated Patient Tracking & Management Software

Digital automation technology would help streamline, organize, and reduce daily processes both in and out of the office. Its uses are as follows: Text appointment confirmation notifications, pre-recorded follow-up appointment voicemails, online patient portal creation, scheduled social media posts and digital marketing efforts, in-house form submissions via handheld tablet, digital data collection, and organization via cloud-based storage.

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Anesthesia
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Critical Care Anesthesia

Keeping patients comfortable, without pain and distress, and continuously monitoring vital signs is what makes this profession so important. 

What is Anesthesia?

Anesthesia is a medical treatment that prevents the feeling or sensation of pain with or without loss of consciousness during medical procedures. Anesthesiology also includes traditional intraoperative care and sub-specialties like chronic pain management and critical care.

Anesthesiologists are specialized doctors who administer anesthetics to patients, depending on the patient and the pain relief required. The various anesthetics administration routes include injection, inhalation, topical lotions, sprays, skin patches, and eye drops. Anesthesia is usually administered to patients who undergo complicated procedures like surgeries. 

What are Anesthetics?

Anesthetics are drugs that reduce or prevent pain. There are mainly three types of anesthetics used.

In a restricted area of the body, local anesthetics are drugs that, upon topical application or local injection, cause a reversible loss of sensory perception, especially pain. 

Regional anesthetics are local anesthetics that block the sensation perception from a larger body area, such as an arm, leg, or abdomen. 

General anesthetics are drugs that cause a reversible loss of consciousness, immobility, muscle relaxation, and sensation, especially pain. 

When local anesthetics or regional anesthetics are administered, the patient remains conscious, but during the administration of general anesthetics, the patient is unconscious and unaware of his/her surroundings. Anesthetics given to patients in critical care units are usually general anesthetics. 

What do you mean by critical care?

Critical care or Intensive care is a specialized type of care administered to patients with life-threatening injuries and illnesses. They need constant monitoring and comprehensive care and are usually admitted to intensive care units (ICU).

Health-care providers use a lot of different equipment like catheters, dialysis machines, feeding tubes, etc. Devices also monitor the patient’s vital signs and display them on monitors. These machines help keep patients alive, but they can also increase the risk of infection. 

Critical care anesthesia

Critical care anesthesia is a specific type of anesthesia where specialized anesthesiologists care for patients who have recently undergone major surgery or suffer from the effects of severe infections or trauma. 

Critical care anesthesiologists possess the medical knowledge and technical expertise to deal with emergencies. They work in intensive care units as essential doctors of care, also known as intensivists. They have the training to deal with cardiac and pulmonary resuscitation, airway management, advanced life support, and airway control; stabilizing the vitals.

They know how to stabilize and prepare patients for emergency surgeries. They coordinate and work closely with other specialists like surgeons to manage treatments for patients and deliver a full range of care. They act as a connecting link between surgeons and physicians to ensure that they work together effectively and for the same purpose. 

Critical care anesthesiologists continue to care and check on patients multiple times throughout the day and even at night. 

Some of the standard protocols critical care anesthesiologists follow are –

-Monitor the electrical activity of the heart

-Monitor the blood oxygen saturation

-Monitor vital signs like blood pressure, respiratory rate, and heart rate.

Usually, patients in the ICU are given intravenous saline so that they stay hydrated. 

During the coronavirus pandemic, the importance of critical care anesthesia has risen up. Anesthesiologists are working tirelessly to provide the necessary care required for an excessive amount of patients.

The management of COVID-19 patients includes specialized anesthetic care for patients with suspected and confirmed COVID-19, intubation outside operation theatres, oxygenation and ventilation support for acute hypoxemic respiratory failure, emergency management and participation in other patients care aspects.

Anesthesiologists have to be very careful as they will be handling most of the patients with respiratory disorders. Some requirements that need to be followed are 

-All suspected patients must be kept in isolation rooms before their procedure. 

-Anesthesiologists must wear Personal Protective Equipment at all times. 

-Operations, when conducted, should be done in a negative pressure or positive pressure isolation rooms. 

Effect on patients

Effect on patients

Critical care can have a significant impact on patients. Before being administered with anesthesia, patients must undergo a diagnostic assessment to determine his/her ability to survive the stress of anesthesia and surgery. 

Some difficult decisions must be made if the patient is critically ill or closer to death. Some patients may have to be resuscitated. Others can live but only with the aid of machines. The outcomes of these decisions must ensure that the patient undergoes minimal suffering. The entire team of healthcare workers and the patient’s family are involved in making these decisions. 

Anesthesiologists around the world work long hours and fatigable work shifts. Critical care anesthetists have more stress while handling multiple patients and continuously monitoring their vital signs. The coronavirus situation has heavily impacted the work-life of these anesthesiologists, causing even more challenges. 

Anesthesiologists are like the heroes behind a mask who ensure the patient’s safety while other specialists carry out their procedures. We have to thank them to keep us comfortable, pain-free, and in good health.

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